I, [Your Name], residing at [Your Company Address], being duly sworn, with this state the following:
I am a citizen of [State], born on [Date of Birth]. I am currently employed by [Your Company Name] located at [Your Company Address]. My direct contact information is as follows:
Email - [Your Company Email]
Phone - [Your Company Number]
This affidavit is made in support of [Applicant's Full Name] to grant them Power of Attorney. I have known the Applicant for [Number years/months], and we share a relationship described as [Nature of Relationship]. I confidently attest to their integrity, capability, and trustworthiness to act as my Attorney-in-Fact.
The following points summarize my commitment and understanding regarding this Power of Attorney:
The Applicant will have the authority to manage, handle, and dispose of my assets, properties, and financial affairs as necessary.
The Applicant is authorized to make health care decisions on my behalf, including but not limited to consenting to medical treatment or refusing thereof.
This authority will remain in effect until such a time that I revoke it in writing or until my passing.
In support of this affidavit, I am submitting copies of the following documents:
My valid government-issued identification
Proof of my current residence
Proof of employment
Any other relevant documents as required
By signing below, I declare under penalty of perjury under the laws of [State] that the preceding is true and correct to the best of my knowledge and belief.
[Your Name]
[DATE SIGNED]
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